NPI | 1952651630 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301101620) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301101620) |
Enumeration Date | 2012-09-11 |
Last Update Date | 2012-09-11 |